| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.14 | $18.14 | $21.86 | |
Cigna
| Facility | $28.58 | $28.58 | $28.58 | |
Cigna
| Professional | $20.86 | $28.58 | $42.76 | |
MVP Health Care
| Facility | $28.58 | $28.58 | $28.58 | |
MVP Health Care
| Professional | $20.86 | $28.58 | $42.76 | |
United
| Professional | $12.37 | $28.43 | $47.44 |